Evidence map›Paper›PMID 38172524›Full record

ArticleNPJ precision oncology2024

Intraoperative margin assessment for basal cell carcinoma with deep learning and histologic tumor mapping to surgical site.

Joshua J Levy, Matthew J Davis, Rachael S Chacko, Michael J Davis, Lucy J Fu, Tarushii Goel, Akash Pamal, Irfan Nafi, Abhinav Angirekula, Anish Suvarna and 5 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Joshua J LevyDepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA. Joshua.levy@cshs.org.ORCID http://orcid.org/0000-0001-8050-1291
Matthew J DavisDepartment of Dermatology, Geisel School of Medicine at Dartmouth, Hanover, NH, 03756, USA.
Rachael S ChackoGeisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Michael J DavisDepartment of Dermatology, Geisel School of Medicine at Dartmouth, Hanover, NH, 03756, USA.
Lucy J FuGeisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Tarushii GoelThomas Jefferson High School for Science and Technology, Alexandria, VA, 22312, USA.
Akash PamalThomas Jefferson High School for Science and Technology, Alexandria, VA, 22312, USA.ORCID http://orcid.org/0000-0003-1807-1627
Irfan NafiThomas Jefferson High School for Science and Technology, Alexandria, VA, 22312, USA.ORCID http://orcid.org/0000-0002-3679-109X
Abhinav AngirekulaThomas Jefferson High School for Science and Technology, Alexandria, VA, 22312, USA.
Anish SuvarnaThomas Jefferson High School for Science and Technology, Alexandria, VA, 22312, USA.
Ram VempatiThomas Jefferson High School for Science and Technology, Alexandria, VA, 22312, USA.
Brock C ChristensenDepartment of Dermatology, Geisel School of Medicine at Dartmouth, Hanover, NH, 03756, USA.ORCID http://orcid.org/0000-0003-3022-426X
Matthew S HaydenDepartment of Dermatology, Geisel School of Medicine at Dartmouth, Hanover, NH, 03756, USA.
Louis J VaickusEmerging Diagnostic and Investigative Technologies, Clinical Genomics and Advanced Technologies, Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH, 03756, USA.
Matthew R LeBoeufDepartment of Dermatology, Geisel School of Medicine at Dartmouth, Hanover, NH, 03756, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Zhao - Proj 2P20GM130454 · NIGMS · DARTMOUTH COLLEGE · PI Chengxiang Qiu · 2019 to 2026
$27.2M
Relation Between In-utero Vitamin D and Immune Function in Early Childhood P20GM104416 · NIGMS · DARTMOUTH COLLEGE · PI CHRISTENSEN, BROCK CLARKE · 2013 to 2022
$23.7M
NCI NIH HHS P30 CA023108NIGMS NIH HHS P20 GM104416NIGMS NIH HHS P20 GM130454
6 · The paper itself

Abstract

Successful treatment of solid cancers relies on complete surgical excision of the tumor either for definitive treatment or before adjuvant therapy. Intraoperative and postoperative radial sectioning, the most common form of margin assessment, can lead to incomplete excision and increase the risk of recurrence and repeat procedures. Mohs Micrographic Surgery is associated with complete removal of basal cell and squamous cell carcinoma through real-time margin assessment of 100% of the peripheral and deep margins. Real-time assessment in many tumor types is constrained by tissue size, complexity, and specimen processing / assessment time during general anesthesia. We developed an artificial intelligence platform to reduce the tissue preprocessing and histological assessment time through automated grossing recommendations, mapping and orientation of tumor to the surgical specimen. Using basal cell carcinoma as a model system, results demonstrate that this approach can address surgical laboratory efficiency bottlenecks for rapid and complete intraoperative margin assessment.

Identifiers

PMID38172524
PMCPMC10764333

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.